2015年保定市手足口病经济负担调查分析  

Investigation and analysis on financial burden of hand,foot and mouth disease in Baoding City in 2015

作　　者：陈妍[1] 王春艳[1] 王磊[1] 祖文刚[1] 崔丽丽[1] 田斌[1] 于志国[1] 

机构地区：[1]保定市疾病预防控制中心流行病科,河北保定071000

出　　处：《职业与健康》2016年第14期2000-2003,共4页Occupation and Health

基　　金：河北省医学科学研究重点课题计划(20150407)

摘　　要：目的了解保定市2015年手足口病(HFMD)流行期间患者的经济负担情况。方法采用回顾性调查的方法填写调查问卷,采用SPSS 17.0、Excel对494例HFMD病例进行分析。结果共调查病例494例,其中门诊病例234例,普通住院病例204例,HFMD合并脑炎病例56例。门诊病例平均费用为(1 261.7±728.2)元,普通住院病例为(2 178.2±1 537.1)元,HFMD合并脑炎病例为(15 422.2±4 298.6)元。门诊及普通住院病例,在非医疗费用、间接医疗费用中,不同性别间差异有统计学意义;门诊、普通住院病例及HFMD合并脑炎病例,在间接经济损失中,不同户籍间差异有统计学意义。患者第1次就诊以村级及社区医院居多,占71.26%,首诊确诊率为89.47%。该地居民参保率为72.9%,均按规定报销;外来人口参保率为37.5%,60%按照医疗保险规定报销。结论保定市HFMD经济负担较重,需加强HFMD的预防控制工作,坚持科学就医,加大该地和外来人口的参保率,加大外地人口住院报销比例将有利于减轻HFMD病例的经济负担。[Objective]To investigate the financial cost of patients during the hand,foot and mouth disease（HFMD）epidemic in2015 in Baoding City.[Methods]A retrospective survey was used to fill in the questionnaire,494 HFMD cases were analyzed by SPSS 17.0 and Excel.[Results]Altogether 494 cases were investigated,including 234 outpatient cases,204 normal hospitalized cases,and 56 HFMD complicated by encephalitis cases. The average cost of outpatient cases,normal hospitalized cases and HFMD complicated by encephalitis cases was respectively（1 261.7±728.2）yuan,（2 178.2±1 537.1）yuan and（15 422.2±4 298.6）yuan. In outpatient cases and normal hospitalized cases,the differences in non-medical cost and indirect medical expenses were statistically significant between sex groups. In outpatient cases,normal hospitalized cases and HFMD complicated by encephalitis cases,the difference in indirect economic loss between different household registration groups. Most of patients visited the doctor in village and community hospitals for the first time,which accounted for 71.26%,and the first clinical diagnosis rate was89.47%. The rate of participating insurance among the local residents was 72.9%,and all were reimbursed in accordance with the stipulations. The rate of participating insurance among the external population was 37.5%,and 60% were reimbursed according to the stipulations. [Conclusion]The economic burden of HFMD is heavy in Baoding City. Therefore,it is necessary to strengthen the prevention and control work of HFMD,improve the scientific hospitalization,and increase the rate of participating insurance among the local and external populations. To increase the reimbursement ratio of external population will be beneficial to reduce the financial burden of HFMD cases.

关 键 词：手足口病 经济负担 科学就医 医疗保险 

分 类 号：R19[医药卫生—卫生事业管理]